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Sleep Changes

Problems with getting the right amount of sleep affects many people after treatment. At one end of the spectrum is hypersomia, which causes people to sleep 10 hours or more at time. At the other end is insomnia, the inability to get enough sleep to let you feel rested. Hypersomnia, insomnia and increased nightmares can aggravate other side effects and lessen your ability to deal with everyday activities.

Tips for managing hypersomnia

Try to get exercise every day, during the morning or early afternoon

Develop a routine to sleep and wake at the same time every day. When it is time to get up, get out of bed

Engage in activities that you enjoy and that call for your full attention

Avoid foods that make you sleepy during the day

Tips for managing insomnia

Work with your doctor to address underlying sources of insomnia, such as pain, anxiety, or stimulating medication

Sleep and wake at the same time each day

Avoid caffeine, alcohol, and tobacco, especially at night

If you are hungry at bedtime, eat a light snack

If you are able, exercise regularly

Sleep in a quiet, dark room that is not too hot or cold

Start a bedtime ritual, such as reading or taking a bath, to signal it is time for sleep

Medications are sometimes used to treat insomnia in the short-term and only when other treatments are ineffective

Tips for dealing with nightmares

Talk about the nightmares—reach out to a trusted family member or friend

Write in a diary or draw pictures to express the content or themes of the nightmares

Imagine alternative endings or storylines to the nightmares

During the daytime, talk with someone close about your fears and feelings